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Full text of "Navy and Marine Corps Medical News June 2013"

NAVY AND MARINE CORPS 



June 2013 

MEDNEWS Items of Interest 

In June, Navy Medicine will highlight 
how it demonstrates value across the 
Navy Medicine enterprise through 
efficient health care delivery, Medi- 
cal Home Port teams, and effectively 
managing our patient population both 
in and out of network. 

June celebrates Mens Health Month. 
In honor of this month, BUMED has 
launched its "Get Healthy Like a Man" 
campaign. Be sure to check out our 
social media and blog sites to see how 
you can get healthy like a man! 

June 17th marks the 1 15th birthday of 
the Navy Hospital Corps. 

June 4-7 marked the commemoration 
of the Battle of Midway, which took 
place June 4-7, 1942. 

Check out the new Medical Home 
Port video on the USNavyMedicine 
YouTube page: http://youtu.be/WlM- 
cGkObwXM. 



Find us on Facebook. U.S. Navy Bu- 
reau of Medicine and Surgery, follow 
us on Twitter ^NavyMedicine . read 
our publications on Issuu, check out 
our photos on Flickn watch our videos 
on YouTube and read our blog on 
Navy Medicine Live. 



Did You Know? 

In the Vietnam War 
alone, hospital corpsmen 
received four Medals of 
Honor, 31 Navy Crosses, 
127 Silver Stars, and 291 
Bronze Stars for heroics 
under fire. 



Deputy Surgeon General 
retires after 33 years 



By Joshua L. Wick, U.S. Navy Bureau 
of Medicine and Surgery Public Affairs 

WASHINGTON- The Navy's deputy 
surgeon general and deputy chief, Bu- 
reau of Medicine and Surgery (BUMED), 
retired June 14 after a military career that 
spanned more than 33 years of service. 

In Navy tradition. Rear Adm. Michael 
H. Mittelmans flag was hauled down dur- 
ing a formal ceremony attended by senior 
and junior military members, civilian 
guests, family and friends at the Sail Loft 
on the Washington Navy Yard, D.C. 

"When you look at the breadth of his 
career, the amazing telescopic view he's 
had of the Navy, the military, and the 
joint world in addition to what he's been 
able to bear throughout his career, it re- 
ally is an amazing accomplishment," said 
Vice Adm. Matthew Nathan, U.S. Navy 
surgeon general and chief, BUMED. 



Nathan added that in his last role, Mit- 
telman was a compelling representative 
and co-leader of Navy Medicine. 

"This ceremony is fitting for an officer 
of his caliber and for contributions he's 
made," said Nathan. 

Mittelman, a native of Long Beach, 
N.Y., has held the position as deputy sur- 
geon general and deputy chief of BUMED 
since November 201 1. 

The rear admiral began his Navy career 
as a staff" optometrist in 1980 at Naval 
Hospital Cherry Point, N.C. In June 1989, 
he became the first Navy optometrist to 
earn designation as an Aerospace Op- 
tometrist (NAsO). He took command of 
Naval Hospital Okinawa, Japan in July 
2000, becoming the first optometrist to 
command a naval hospital. Additionally, 
Mittelman is the first and only clinician to 

See Clinic, Page 3 




Photo by /( 



Rear. Adm. Michael Mittelman, deputy chief, U.S. Navy Bureau of Medicine and Sur- 
gery and deputy surgeon general of the U.S. Navy speaking during his retirement 
ceremony held J une 14 at the Washington Navy Yard, D.C. Mittelman retires after a 
naval career that spanned more than 33 years of service. 



An Official Public Affairs Publication of the U.S. Navy Bureau of Medicine and Surgery 



Surgeon General's Corner 



Navy Medicine highliglits 
value across the enterprise 

In today s fiscal and resource con- 
strained environment, we must look 
for value in all we do. Whether we are 
providing care to our Sailors, Marines, 
and beneficiaries, or developing health 
care policy, we need to evaluate how we 
are getting the job done. This is especially 
important in the peacetime care dynamic. 

This month, I would like to talk with 
you about how we are creating value 
in the care we provide across the Navy 
Medicine enterprise. Many of you have 
heard me talk about my key priorities of 
readiness, value and jointness. In order to 
balance cost and quality, we need to make 
sure we're razor- sharp in the quality of 



care we provide, 

'1n order to balance cost 
and quality, we need to 
make sure we're razor- 
sharp in the quality of care 
we provide, delivering that 
care in the most efficient 
way possible." 

Vice Adm. Matthew Nathan 



delivering that 
care in the most 
efficient way pos 
sible. 

Over the past 
year. Navy Medi- 
cine has been 
working dili- 
gently on stream 
lining processes 
for recapturing 
purchased care, 
managing our 

patient population in and out of the net- 
work, and assessing the Medical Home 
Port (MHP) model. 

Last year, I set a goal for the Navy 




Navy and Marine Corps 

Medical News 



-c2-^S> 



U.S. Navy Bureau of Medicine and Surgery 
^ice Adm. Matthew L. Nathan 



Capt. Dora Lockwood 

Public Affairs Officer 

r Paul Ross 

ng Deputy Public Affairs Officer 

Valerie A. Kremer 

LvlEDNEWS Managing Editor 

U.S. Navy Bureau of Medicine and Surgery 

^7700 Arlington Blvd. Ste. 5122 

Falls Church, Va. 22042-5122 



U 



Public Affairs Office 

703-681-^ 



Medicine enterprise to spend less on 
purchased care in fiscal 2012 than the 
previous year. To achieve that goal, we fo- 
cused on recapturing care in orthopedics, 
physical therapy, obstetrics/gynecology, 
primary care, mental health and general 
surgery. I'm pleased to say I'm seeing 
the trends moving in the right direction. 
Navy Medicine continues to move the 
needle in reducing the amount paid for 
purchased care by providing more care 
internally. This has not only allowed Navy 
Medicine to provide care more efficiently, 
but it has also controlled external costs 
and allows our workforce to be more 
productive. 

It cer- 
tainly starts 
with leader- 
ship, but it is 
my expecta- 
tion that we 
all become 
more aware 
of our pur- 
chased care 
costs. As 
we under- 
stand how 
much what 
seems to be a simple referral can actually 
cost, we are less likely to allow enrollees 
out into the private network. Through 
increased awareness and more informed 
referral decisions, our Navy Medicine 
health care providers will continue to 
recapture care, see more patients and do 
more of the work that would otherwise be 
sent out into the network. 

The success with the value priority also 
demonstrates the link between specialty 
care and the MHP system, of which many 
of you have experienced in your MHP 
teams. We have seen that the robust 
medical homes have been doing a great 
job at managing our patient population. 
As a result, our inpatient care is decreas- 
ing and we are able to do more outpatient 
work. 

The MHP model has allowed de- 
creased emergency room use, among 
other achievements. Naval Hospital Sigo- 
nella and Naval Hospital Yokosuka are 
our top performers in this area where, on 
average, only two of every 100 enrollees 
are going to the ER for care each month. 



U.S. Navy Surgeon General 




Vice Adm. Matthew L. Nathan 
U.S. Navy Surgeon General 

This is great news. 

Also, we have seen performance 
steadily increase with MHP continuity. 
Naval Hospital Oak Harbor has done 
an outstanding job with 86 percent of 
patients achieving continuity, meaning 
that their primary care manager is able 
to form a longer term, deeper relation- 
ship with the patient. This has a variety of 
benefits for the patient and is one of the 
key differentiators of the MHP model, 
including a higher likelihood that full 
medical history will be taken into account 
at each visit and has also been attributed 
to higher patient satisfaction. 

For overall patient satisfaction. Navy 
Medicine is highly achieving no matter 
how you slice it. Enrollees at Naval Health 
Chnic (NHC) Guam, NHC Hawaii and 
NHC Annapolis could not be happier 
with the care that is provided by Navy 
Medicine, as over 95 percent of respon- 
dents are satisfied with the care they 
receive. I am proud to say that trends 
across all MTFs are improving as of the 
start of 20 13. 

By evaluating all that we do, we have 
become much better at controlling our 
costs, with month-to-month costs now 
relatively stable. This demonstrates the in- 
credible job that our MTFs have done to 
turn the flywheel of purchased care in the 
other direction. I commend the tremen- 
dous work already being done, and I urge 
each of you to continue to ensure Navy 
Medicine is providing the best return on 
our nation's investment in quality health 
care for our naval forces. 

I am so very proud of the work you do 
each day. Thank you for your service and 
as always, it is my honor and privilege to 
serve as your surgeon general. 



NMCSD opens new clinic in Ranclio Bernardo 



By Mass Communication Specialist 
Seaman Pyoung K. Yi, Naval Medical 
Center San Diego Public Affairs 

SAN DIEGO - Naval Medical Center San 
Diego (NMCSD) celebrated the grand 
opening of one of its newest clinics dur- 
ing a ribbon-cutting ceremony May 15. 

Naval Branch Health Clinic (NBHC) 
Rancho Bernardo is poised to continue 
the hospitals legacy of providing top- 
notch care to our nations heroes and 
those who stand by them. 

"This new clinic takes that world- 
class quality and brings it right into our 
patients backyard. World-class quality 
health care with a state-of-the-art facility 
and convenience that is second to none," 
said Capt. (Dr.) Joe Aquilina, director of 
Branch Clinics. "This is a great service 
to all the active duty, their families and 
retired service members who entrust us 
with their health care needs. It s a real 
honor to serve these patients and I think 
putting so much into customer service 
and convenience really shows this com- 
mitment to our patients." 

NBHC Rancho Bernardo is staffed by 
a patient and family- centered Medical 
Home Port team that delivers primary 




Photo by Mass Communication Specialist 2nd Class Sean P. Lenahan 



Rear Adm. C. Forrest Faison III, commander, Naval Medical Center San Diego and 
Navy Medicine West and staff cut the ribbon for the during the grand opening of 
Naval Branch Health Clinic Rancho Bernardo. 



care, immunizations, pharmacy, phle- 
botomy, case management and health and 
wellness services in a "one stop shop" en- 
vironment to 4,800 eligible beneficiaries. 

The Rancho Bernardo Clinic will as- 
sist in lightening the load on neighbor- 
ing Branch Health Clinic Marine Corps 
Air Station Miramar, allowing for more 
personalized patient care, according to 
NMCSD s Facilities Department Project 



Officer, Lt. Cmdr. Richard J. Taulli. 

The clinic opened its doors to patients 
April 22. Its 11 staff members treat an 
average of 20 patients daily, according to 
Aquilina. 

"The team has done a great job coming 
together and really getting our processes 
in place. Our providers love the new 
facility and our patients really appreciate 

See Clinic, Page 7 



DEPUTY 

From page 1 

serve as the 15th director of the Medical Service Corps (MSC) 
and the only non-physician to serve as a combatant command 
surgeon for U.S. Pacific Command and the first at U.S. Joint 
Forces Command. 

In addition to his series of firsts, Mittelman served in a va- 
riety of additional assignments and command positions across 
the Navy Medicine enterprise including Pensacola, Fla.; Great 
Lakes, 111.; Washington, D.C.; Yorktown and Norfolk, Va.; Hono- 
lulu; Rota, Spain; as well as Okinawa, Japan. 

"I got my first hop in a Marine EA-6B while stationed in Pen- 
sacola," said Mittelman. "That cemented my love for aviation." 

At each duty station, Mittleman added, they [his family] met 
some amazing folks, who made a real impact on their lives and 
that has helped to make the Navy such a uniquely gratif)^ing and 
rewarding career. 

Though command has taken him out of regular clinical op- 
erations, treating great patients and being able to mentor junior 
Sailors is what has kept him motivated and dedicated. 

"Don't be afraid to get out of your comfort zone and take 
some calculated risks," Mittelman said. "Take care of your 
people, be honest and have fun, it's the only way you'll grow 
professionally." 

According to the rear admiral, one of his most significant 
accomplishments was his involvement in Operation Tomodachi, 
the United States' military medical response to the earthquake. 



tsunami and nuclear reactor crisis in Japan in 201 1. 

During his time as command surgeon for Pacific Com- 
mand, Mittelman and his team were responsible for ensuring 
the health safety of residents in the region as well as monitoring 
the air, food, soil and water for contaminates. In addition, they 
collaborated with the joint multinational disaster relief effort. 
Mittelman and his Navy Medicine team provided radiation 
health support, established a registry to document radiation ex- 
posure estimates for more than 70,000 Department of Defense 
affiliated personnel on or near the mainland of Japan and laid 
the foundation and established new science protocols for deal- 
ing with these type of situations. 

Mittelman thanked Nathan and Dr. Jonathan Woodson, 
assistant Secretary of Defense (Health Affairs) and director of 
Tricare Management Activity, for their leadership and friend- 
ship. He added. Navy Medicine and the military health system 
are in great hands because of them, great officers and enlisted 
who keep Sailors, Marines and all service members healthy and 
on target for readiness. 

Mittelman's awards and decorations include: Defense Supe- 
rior Service Medal (two awards). Legion of Merit Medal (five 
awards). Meritorious Service Medal (three awards). Navy and 
Marine Corps Commendation Medal (two awards). Navy and 
Marine Corps Achievement Medal, Meritorious Unit Commen- 
dation (two awards). National Defense Service Medal, Global 
War on Terrorism Service Medal, Navy and Marine Corps 
Overseas Service Ribbon (five awards), and the Navy Expert 
Pistol ribbon. 

June 2013 -MEDNEWS • 3 




The Navy Float at the 2013 Armed Forces Day River Parade held May 18, 



Photo courtesy of Larry Coffey 

at the River Walk in downtown San Antonio. 



By Larry Coffey, NMETC PAD 

SAN ANTONIO - Navy Medicine 
Education and Training Command 
(NMETC) staff and students were among 
the many military personnel honored at 
the second annual Armed Forces Day 
River Parade held along the River Walk in 
downtown San Antonio May 18. 

The river parade was one of multiple 
annual events honoring the military that 
are hosted by the community or busi- 
nesses in San Antonio, known as Military 
City U.S.A. 

"I was honored and privileged to be 
a part of the San Antonio Armed Forces 
River Parade" said Rear Adm. Bill Rob- 
erts, Medical Education and Training 
Campus (METC) commandant, one of 1 1 
Sailors on board the Navy float. "It was 
an extremely well orchestrated event, and 
I was delighted by how warmly the San 
Antonio community embraced our Navy 
men and women. San Antonio has a long 
history of supporting our troops, and that 
was clearly in evidence by the manner in 
which its citizens went out of their way to 
make our Navy personnel feel welcomed 
and appreciated." 

Sailors on board the Navy float were 
from NMETC, Navy Recruiting District 
San Antonio, the Navy Operational Sup- 

4 • MEDNEWS • June 2013 



port Center, Navy Medicine Information 
Management Support Activity, and the 
Navy Technical Training Center Master at 
Arms "A" School. 

Sailors were also part of the celebration 
when they joined seven of their counter- 
parts from the other services on board 
the Fiesta Military Ambassadors' Float, 
where military ambassadors representing 
the five services during the Annual Fiesta 
San Antonio were recognized. Crypto- 
logic Technician Interpretive 2nd Class 
William J. Cruz from the Navy Informa- 
tion Operations Command, San Anto- 
nio and Hospital Corpsman 2nd Class 
Gina Martinez, a METC Hospital Corps 
instructor from the Navy Medicine Train- 
ing Support Center, were Navy ambassa- 
dors during Fiesta. 

The parade was televised in 54 markets 
across the U.S., on the Pentagon Chan- 
nel, Armed Forces Radio and Television 
Service outlets overseas and via Closed 
Circuit Television systems on board Navy 
ships. In all, the River Parade featured 24 
floats — small flat-hulled boats decorated 
for the parade that slowly made their 
way down the San Antonio River Walk, a 
network of walkways along the banks of 
the San Antonio River. Five floats repre- 
sented the five military services and were 



decorated by the Paseo Del Rio Associa- 
tion, which puts on 24 River Walk events 
annually. 

"The River Walk and the military are 
iconic with San Antonio," said Nancy 
Hunt, executive director, Paseo Del Rio 
Association. "The Armed Forces Day 
River Parade just makes sense." 

Seaman Mary Ambrose, a Chicago 
native, was one of two METC Hospital 
Corps "A" School students who joined 
Roberts and Master Chief Petty Officer 
Rusty Perry, NMETC, command master 
chief, on board the Navy float. Ambrose 
said she discovered during this event 
just how iconic the military is with San 
Antonio. 

"Before the parade started, we were 
walking around downtown San Antonio 
and people were stopping and looking," 
said Ambrose. "There were even a few 
people who asked to take pictures with 
us. I have never seen the River Walk so 
crowded. When I told my mom I was 
getting recognized in the military ap- 
preciation parade, she was so proud. She 
was able to stream it live on Fox from 
Chicago." 

For Hunt, the Armed Forces Day River 
Parade was all about recognizing military 
personnel. 



Navy's top doc discusses priorities, patient care 



By Yan Kennon, Naval iHospital 
Jaclcsonviile Public Affairs 

JACKSONVILLE, Fla. - U.S. Navy sur- 
geon general and chief, Bureau of Medi- 
cine and Surgery visited Naval Hospital 
(NH) Jacksonville and its branch health 
clinics May 29 and delivered a keynote 
address at the Center for Global Health 
and Medical Diplomacy at the University 
of North Florida's fifth annual Quality 
and Safety Forum May 30. 

Together with NH Jacksonville Com- 
manding Officer Capt. Gayle Shaffer, 
Vice Adm. Matthew Nathan kicked off" 
day one of his visit by participating in 
the hospital's morning colors and awards 
ceremony to recognize more than a dozen 
outstanding staff". 

"Navy medicine's number one job is 
to support the warfighter," said Nathan, 
during interactive discussions focused on 
patient's health outcomes, and the role of 
performance metrics in improving qual- 
ity of care. 

Supporting NH Jacksonville's current 
opportunity to increase primary care en- 
rollment from 57,000 to 63,000 patients, 
Nathan commented that military families 
love that Navy Medicine doesn't get paid 
based on procedures; that instead, care 
decisions are driven by what is right for 
the patient. 

Nathan 
pointed out 
that care in 
the TRI- 
CARE net- 
work costs 
taxpayers 
twice the 
money — 
the cost to 
run the military treatment facility, and 
the cost of care in the network. And with 
nine general surgeons, two of whom are 
fellowship-trained joint specialists in 
arthroplasty; an award- winning Fam- 
ily Medicine Residency Program, the 
Navy's oldest and largest; state-of-the-art 
renovated facilities and expert staff", it has 
never been a better time to get care at 
NH Jacksonville. 

Medical Home Port, Navy Medi- 
cine's team approach to health care, was 
another important topic, as it supports 
continuity of care, by placing patients 
in the center of a team of caregivers led 
by their primary care managers. Nathan 




Photo by Jacob Sippel 

Surgeon General of the Navy Vice Adm. Matthew Nathan, center, meets with senior 
leaders at Naval Hospital Jacksonville, including Commanding Officer, Capt. Gayle 
Shaffer. The discussion focused on patients' health outcomes and the role of Naval 
Hospital Jacksonville's performance metrics in improving quality of care. 

envisions a day when military patients are environments, and the critical role of staff" 



"In health care, it's everyone's 
job to make the patient's life 
better when they leave the 
facility than it was when they 
came in." 

Vice Adm. Matthew Nathan 
U.S. Navy Surgeon General 



able to talk directly to a provider after- 
hours for urgent care that doesn't require 
an emergency room visit. 

NH Jacksonville has 14 Medical Home 
Port teams across the command. 

During 
his Surgeon 
General s call 
with junior 
military and 
civilian staff", 
he applauded 
the job that 
the Navy 
and Marine 
Corps team is doing. 

"We form a naval and Marine Corps 
maritime team that does some amazing 
things around the world," said Nathan. 
"We work in any dynamic across the 
world, whether it's above the sea with 
naval aviation medicine; on the sea with 
surface medicine; below the sea with 
submarine medicine; or on land, support- 
ing the Marine Corps and special opera- 
tions, as evident for the last 10 to 12 years 
in Iraq and Afghanistan as major military 
combat support players." 

In his address to senior staff, Nathan 
continued to discuss Navy Medicine's 
portfolio of combat casualty care in all 



in being ready to go anytime, anywhere. 

"You chose to be a part of an organi- 
zation that is bigger than yourself, that 
gives back and that makes a difference," 
said Nathan. "As for our civilians, who are 
amazing in their resilience and ability to 
get things done, it's a pleasure working 
next to you each day." 

Underscoring one of Navy Medicine's 
strategic goals to collaborate on shared vi- 
sions for health care and interoperability, 
day two of Nathan's visit was his keynote 
address to about 200 leaders from region- 
al health organizations at the fifth annual 
Quality and Safety Forum, hosted by the 
Center for Global Health and Medical 
Diplomacy at the University of North 
Florida. Discussions throughout the day 
were aimed at creating a culture of safety 
in medical institutions across the region. 

"In health care, it's everyone's job to 
make the patient's life better when they 
leave the facility than it was when they 
came in," said Nathan. 

He concluded his remarks to the 
northeast Florida audience when he said, 
"We heal patients as a community; pri- 
vate-sector, military, VA, and thank you 
for embracing Naval Hospital Jacksonville 
staff, not only as citizens, but as members 
of the medical community." 

June 2013 -MEDNEWS • 5 



Navy Secretary describes pregress in cembating sexual assaults 



By Jim Garamone, American Forces Press Service 

WASHINGTON - Navy Secretary Ray Mabus is not concerned 
about sexual assault in the service. He's angry. 

The Navy has been taking steps for years to combat the 
scourge of sexual assault in the ranks, Mabus told the Defense 
Writers Group June 13 and has two cultural barriers to break 
down. 

The first culture that has to change is the "one that says this 
is OK, or that it is not really serious," he said. "The other is the 
mindset of a victim who says, Tm not going to report this, be- 
cause nothing will happen. I won t be taken seriously, it won t be 
investigated, and it will hurt my career.'" 

The Navy is aiming resources at where it has a problem, the 
secretary said. The Air Force has had a problem of sexual assault 
at basic training, he noted, and the Navy has had a problem at 
its follow-on schools. 

"We have put a lot of attention at our A' schools," he said. 

As the service finds programs that work, Mabus said, offi- 
cials export them to other commands. The "A" school initiatives 
started at Great Lakes, 111., and have moved on to Navy schools 
in San Diego and Pensacola, Fla. 

The Navy has been aggressive, the service's top civilian of- 
ficial said. "We're sending shore patrols out — the first time in a 
long time we've done that," he added. "We're stressing bystander 
intervention." 

The service also is continuing efforts to cut alcohol abuse, 
because a large number of sexual assaults have had an alcohol 
component, the secretary said. 

Another area of focus zeroes in on what happens if an inci- 
dent happens. "Is it reported? How quickly and how well do we 
respond?" Mabus said. "Is the command climate right for people 
to report?" 

Tied to this is victim assistance, he added. How local officials 
help the victims in these cases is important to him, Mabus said. 

Finally, investigation and prosecution is important to the 
Navy. Mabus has authorized more money to the Naval Criminal 
Investigative Service for more investigators and more resources. 




Jicial U.S. Navy file photo 

Navy Secretary Ray Mabus briefed the Defense Writers Group 
June 13 about the Navy's plan to decrease sexual assaults in 
targeted locations. 

"It was taking up to 180 days to investigate an incident," he 
said. "Initially, we think we can get this down to 80 days." 

The Navy also is spending more to train its lawyers in these 
cases, the secretary said. 

Measuring what works and what doesn't also is part of this 
effort, Mabus said. "Can we figure out what the best practices 
are?" he asked. "We're beginning to make some headway there." 

Mabus said he thinks taking away a commander's right to 
overturn a conviction is long overdue. 

"Right now, if you are convicted of sexual assault, you are re- 
ferred to a board of inquiry to see if you'll be allowed to stay [in 
the service]," he said. The notion that "if you're convicted, you're 
out" is the way to go, he added. 

The secretary said he looks at sexual assault as an internal 
attack that must be dealt with. 

"We're finding pretty dramatic results in places like Great 
Lakes, where we've rolled out these programs," he said. "Our job 
is to get them fleetwide." 



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Combat Care Training 



Sailors from various naval health connnnands 
around Hawaii participate in Tactical Conn- 
bat Casualty Care (TCCC) training. TCCC is a 
concept of pre- hospital casualty management 
specific to the combat and tactical environ- 
ments. During the field training exercise por- 
tion of TCCC, Sailors are put into a simulated 
combat scenario where they have to deal with 
elements of battle and provide accurate and 
timely medical care. 




View more Navy Medicine photos online at: 
www.flickr.com/photos/navymedicine/ 




6 -MEDNEWS -June 2013 




Photo by Joshua Wick 

(From left to right) The most junior corpsman, Hospital Corpsman 3rd Class Keeon 
Haines; Rear Adm. Michael Mittelman, deputy surgeon general; and Force Mas- 
ter Chief Sherman Boss, U.S. Navy Bureau of Medicine and Surgery, cut the cake 
during the Hospital Corps' 115th birthday celebration held J une 13 at the Defense 
Health Headquarters. 



By Valerie A. Kremer, U.S. Navy 
Bureau of Medicine and Surgery 
Public Affairs 

FALLS CHURCH, Va. - The Navy Hos- 
pital Corps will celebrate 115 years of 
service June 17. 

During the anniversary of the Hos- 
pital Corps, Navy Medicine leadership, 
corpsmen, and staff come together across 
the Navy Medicine enterprise to honor 
the sacrifice and achievements of hospital 
corpsmen past and present. 

"Over the past century, the unyielding 
commitment of our Hospital Corps has 
been nothing short of remarkable," said 

CLINIC 

From page 3 



Master Chief Sherman Boss, director of 
the Hospital Corps, and Force Master 
Chief, U.S. Navy Bureau of Medicine and 
Surgery, during a ceremony held at the 
Defense Health Headquarters honoring 
the 1 15th birthday of the Hospital Corps, 
June 13. "Your service today stands as a 
benchmark of excellence and profession- 
alism within the Navy and Marine Corps. 
As the Hospital Corps begins another 
year of dedicated service to our warriors 
and their families, we remember the 
rich traditions and legacy of the past and 
look forward to the future service to our 
great nation." 



Established June 17, 1898, the Hospital 
Corps provides health care to Sailors, Ma- 
rines, and those entrusted to their care on 
the battlefield, at sea, under the sea, and 
in military treatment facilities worldwide. 

"No Marine has gone into battle 
without you," said Rear Adm. Mittelman, 
deputy Navy surgeon general. "No ship 
or sub has gone underway without you. 
You're always in the thick of the battle 
and the main reason we have a 97 percent 
save rate on the battlefield. Your lineage is 
one of honor, courage and commitment." 

Although the name of hospital corps- 
men has changed from the Corps' incep- 
tion in the Continental Navy, from lob- 
lolly boy to pharmacists mate to hospital 
corpsman, the core values of the Hospital 
Corps remain the same. 

"The reason I became a hospital corps- 
man was because of my grandmother 
who was sick and I was taking care of 
her," said Hospital Corpsman 3rd Class, 
Keeon Haynes, the most junior corpsman 
during the ceremony. "It means so much 
to me to help people because that is just 
what I do - putting other people before 
me. It means more to me to take care 
of someone else and see them get bet- 
ter than anything else in the world - it 
makes me happy." 

The Hospital Corps, which consists of 
more than 25,480 active duty and reserve 
Navy hospital corpsmen, is the largest 
and most decorated rating in the Navy. 
Twenty naval ships have been named 
after hospital corpsmen. 

Since 1919, 178 corpsmen have 
received the Navy Cross Award. In the 
Vietnam War alone, hospital corpsmen 
received four Medals of Honor, 31 Navy 
Crosses, 127 Silver Stars, and 291 Bronze 
Stars for heroics under fire. 



being able to keep their current provider and see them in this 
brand-new clinic, which is close to their home or work," he said. 

The clinic has 13 examination rooms, a treatment room, two 
screening rooms, a laboratory, pharmacy, a space for mammog- 
raphy, a work pod for the clinic's staff, as well as administrative 
and supply spaces in a 9,200-square-foot facility. 

"This location brings the high quality NMCSD patient care 
to North [San Diego] County," added NBHC Rancho Bernardo 
department head, Cmdr. Elizabeth Engelman. "We can now 



offer services in multiple locations that best serve our patient 
populations." 

Planning for the new clinic began in 2009; construction com- 
menced in December 2012 and was completed in March 2013. 

"I am very pleased with the results; the facility is very attrac- 
tive, and raises the standard of care for our patients. The effort 
and support of all involved was truly above par, above and be- 
yond in every case," said Taulli. "I am extremely proud to have 
been part of this team, and grateful to be entrusted with such an 
important task for the hospital, its beneficiaries, and San Diego." 

NMCSD also celebrated the grand re-opening of the newly- 
renovated Branch Health Clinic Naval Training Center May 31. 




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^ contact MEDNEWS at 703-681-9032 or Valerie.Kremer@med.navy.mil 



June 2013 -MEDNEWS • 7 



Medical personnel lead disaster management conference 



By Pfc. Kasey Peacock, Marine Corps Installations Pacific 

NISHIHARA, OKINAWA, Japan - More than 100 people at- 
tended a disaster preparedness, management and response 
conference May 17 at the University of the Ryukyus Hospital's 
Okinawa Clinical Simulation Center in Nishihara. 

Navy Capt. John R LaBanc, the III Marine Expeditionary 
Force surgeon, and Dr. Ichiro Kukita, the university director of 
the emergency medicine department, invited medical profes- 
sionals, students and professors from Japan and U.S. service 
members and Department of Defense employees to the confer- 
ence to develop disaster relief response plans. 

"In the Asia-Pacific region, and especially Japan, we realize 
that disasters are imminent, and we need to work together," said 
LaBanc. "After last year s conference, we wanted to get the word 
out about the importance of it and about building relationships 
with the medical community now before disaster strikes. This is 
our opportunity to work with the medical community through- 
out Japan." 

People attending the one- day conference heard presentations 
from both American and Japanese medical professionals who 
covered an overview of disaster management, bilateral response 
operations, planning, incident command systems, injuries and 
coping with post-traumatic stress disorder. 

The conference brought together individuals involved in di- 
saster response situations, according to Robert D. Eldridge, the 
deputy assistant chief of staff for G-7, government and external 
affairs. Marine Corps Installations Pacific. 

"We had medical first-responders, military service members, 
doctors, professors and firefighters from all across Japan come 
to the conference," said Eldridge. "With everyone having differ- 
ent procedures, we can learn from each other to find the best 
practice. Several people at the conference were involved directly 
with the Great East Japan Earthquake and subsequent tsunami 
relief efforts. This brought a lot of experience to the conference 
and helped a great deal in planning future relief efforts." 

The number of people who showed up highlighted the im- 
portance of planning for future disasters, according to Lt. Col. 
Hiroya Goto, an ophthalmology instructor at the Japan Ground 
Self-Defense Force Medical School. 

"I was happy about the turnout," said Goto. "I believe that, 
on top of the importance of planning for these efforts, more 
importantly is the face-to-face contact you have with your peers. 




Photo by Pft. Kasey Peacock 

Approximately 100 people were in attendance as U.S. Navy 
Capt. Miguel A. Cubano talks about his experiences deal- 
ing with earthquake relief efforts at a disaster management 
conference May 17 at the University of the Ryukyus Hospital's 
Okinawa Clinical Simulation Center in Nishihara. Cubano is 
chief operations and medical director for Tricare Area Office- 
Pacific. 

It made such a difference during Operation Tomodachi to have 
worked beside Americans in the past. By meeting each other 
and then working together to help each other, you build rela- 
tionships that last a lifetime." 

The conference also established a relationship between the 
staff at the simulation center and the medical community to 
coordinate future joint medical exercises, according to LaBanc. 

"The simulation center here is one of the most advanced in 
all of Asia," said LaBanc. "Our goal is to come up with a course 
that can integrate Japanese and American service members, 
as well as medical personnel from the center, into a combined 
training scenario. With all of those entities coming together, 
plus the benefits of the centers capabilities, you have a remark- 
able opportunity." 

With the understanding that a disaster could be forthcoming, 
conferences like these are steps in the right direction in getting 
everyone prepared, according to Eldridge. 

"It has been said the best way to save lives is to do it ahead of 
time," said Eldridge. "These conferences show we all understand 
that and are doing everything we can to work together in prepa- 
ration for whatever happens." 




Trauma Training 



Hospital Corpsman 3rd Classjocelyn Corpening 
provides emergency care to a multiple amputa- 
tion trauma trainer during the Collective Protec- 
tion Exercise held on Naval Weapons Station 
Yorktown-Cheatham Annex, May 14. The Col- 
lective Protection Exercise provides a collective 
protection to the warfighter and their equipment 
utilizing state-of-the-art chemical, biological and 
radiological protective technologies. 



8 • MEDNEWS • June 2013 



Independent Duty Cerpsmen celebrate graduatlen 



By Mass Communication Specialist 
3rd Class Joe Bishop, Naval Medical 
Center San Diego Public Affairs 

SAN DIEGO - Independent Duty Corps- 
men (IDC) graduated from Surface War- 
fare Medical Institution (SWMI) at Naval 
Medical Center, San Diego with a keynote 
speech by the 37th Surgeon General of 
the Navy and Chief of the Navy's Bureau 
of Medicine and Surgery June 7. 

Vice Adm. Matthew L. Nathan spoke 
to the class and among the family mem- 
bers and fellow Sailors, Nathan empha- 
sized the importance of their abilities. 

"We bring concentrated medical train- 
ing in the form of an independent duty 
corpsman," said Nathan. 

IDC's are trained to function inde- 
pendent of medical officers. They work 
in a wide range of medical environments 
that include: advanced diving medicine, 
advanced patient care, medical adminis- 
tration and environmental/occupational 
health. 

Additionally, IDCs are trained in logis- 
tical duties, which allow them to function 
effectively when operating independently 
of medical officers. The IDC program also 
provides an IDC refresher course and 
the Surface Force Medical Indoctrination 
Course (SFMIC). 

"The IDC is just an absolutely critical 
element of what we do in the Navy oper- 
ating forces," said Nathan. 

Various platforms in which IDC's can 
be found include: diving commands. 




Photo by Mass Communication Specialist 3rd Class Joe Bishop 



Sailors listen to Vice Adm. Matthew L. Nathan, Navy surgeon general, speak during 
their graduation fronn the Independent Duty Corpsmen (IDC) program at the Sur- 
face Warfare Medical Institute. The IDC program is a yearlong course that delivers 
training in support of Force Health Protection. 



ships. Fleet Marine Force (FMF), sub- 
marines, special operation commands, 
Seabees and also various shore activities 
related to the Navy and Marine Corps. 

IDCs are typically considered special- 
ists for medical support obligations due 
to the dynamic operational flow and 
tasking they handle in assisting other ele- 
ments of the Department of Defense. 

SWMI offers a number of courses to 
medical professionals that educate Sailors 
on how to offer the best care to Sailors 



and Marines, who depend on their servic- 
es. The Surface Force Independent Duty 
Corpsmen class is a yearlong course. 

The IDC graduates are trained and 
prepared to work in various locations and 
under a myriad of circumstances. 

"We put these men and women in 
some of the most remote and isolated 
platforms at sea and on land around the 
world," said Nathan. "They perform a 
critical function and they really are the 
tip of the spear." 



Winners of Navy Surgeon Gonorars Health Promotion and Wellness Award announoed 



By Navy and Marine Corps Public Health Center Public Affairs 

PORTSMOUTH, Va. - The Navy and Marine Corps PubUc 
Health Center (NMCPHC) announced the posting of 
the 2012 Blue-H Navy Surgeon General's Health 
Promotion and Wellness Award winners on its 
website June 14. 

Winners were officially recognized in a 
message last month by Vice Adm. Matthew 
L. Nathan, U.S. Navy Surgeon General, for 
their outstanding contributions in health, 
wellness and fitness activities and policies 
in Navy workplaces and U.S. Marine Corps 
SEMPER FIT Centers. Exactly 271 organiza- 
tions were recognized in 2012, up 10.6 percent 
from 201 1, indicating an increase in the Navy 
awareness of the Blue H Award. 

Managed by NMCPHC, the annual award is intended 
to encourage and reward the promotion of health and well- 
ness topics. Topics include alcohol abuse prevention, injury 




prevention, nutrition, physical activity, psychological health, 
sexual health, tobacco cessation and weight management. The 
award incorporates workplace-level information about 
the crew's health from the Fleet and Marine Corps 
Health Risk Assessment. 

"We are proud to recognize these Navy work- 
places and Marine Corps SEMPER FIT Cen- 
ters for their commitment to healthy living," 
said Cmdr. Connie Scott, Health Promotion 
and Wellness department head, NMCPHC. 
"This demonstrates the commitment of many 
commands to force health and readiness and 
' sets the standard for other organizations." 
Award recipients are recognized in three 
different Navy and Marine Corps environments: 
fleet, medical and Semper Fit Centers. 
Fleet - This version is for all Navy commands other 
than military treatment facilities (MTF) and recognizes excel- 

See Award, Page 10 

June 2013 -MEDNEWS • 9 



Navy Medicine Research 



Researchers evaluate hypoxia mitigation 



By Dr. Jeffrey Phillips and Dr. Bill 
Becker, NAMRU-Dayton 

DAYTON, Ohio - Hypoxia represents a 
significant hazard in miUtary and civil 
aviation. Since 2001, over 100 hypoxia- 
related hazard reports and three mishaps 
in Naval aviation have been attributed to 
hypoxia. 

Scientists and engineers at the Na- 
val Medical Research Unit Dayton 
(NAMRU-Dayton) are testing in-cockpit 
hypoxia detection methods focusing on 
physiological sensors including pulse 
oximetry, reflectance oximetry, and near- 
infrared spectroscopy. Although each of 
these techniques is capable of detecting 
a hypoxic event, their functionality is of- 
ten compromised by environmental fac- 
tors and require the operator to experi- 
ence a significant degree of blood oxygen 
desaturation before hypoxia is detected. 

These limitations led NAMRU-Dayton 
investigators to seek hypoxia detection 
methods that would rapidly alert the op- 
erator to the onset of a hypoxic event. 

One promising approach uses gas sen- 
sors to monitor the volume and quality of 
air provided to pilots and crew through 
their life support systems. Researchers 
determined that in the event of a hypoxic 
episode an oxygen sensor in the mask 
would detect hypoxia up to six minutes 
before any of the measures of blood oxy- 
gen saturation would. 

These promising results have led to 
a collaboration between the Navy, Air 
Force, and private industry. An industry 
partner developed a sensor suite to detect 
any disruption in the quantity or quality 
of the breathing air supplied to the pilot. 
The suite is composed of an oxygen and 
flow sensor to test air before it reaches the 
operator as well as a carbon dioxide sen- 
sor to check for anomalies in expired air 

AWARD 

From page 9 




Photo courtesy of NAMRU-Dayton 

The orbital hypoxia mitigation sensor suite nnounted to a standard aviation nnasl<. 



to suggest a disruption to normal respira- 
tory metabolism. 

NAMRU-Dayton researchers are 
working on a project, funded through 
the Air Force Surgeon General s Office, to 
characterize the effect of normal aero- 
space environmental factors on sensor 
performance and accuracy. 

Many aspects of the aviation environ- 
ment, such as fluctuating barometric 
pressures and humidity levels as well as 
temperature extremes, can negatively 
influence sensor performance in opera- 



tional settings. 

These sensors are evaluated inside a 
hypobaric chamber while temperature, 
pressure, flow and humidity are manipu- 
lated. The results will be used to establish 
algorithms to correct for the negative 
effects of aviation-specific environmental 
issues. 

NAMRU-Dayton researchers and their 
research collaborators will continue in- 
vestigating this and other potential miti- 
gations with the constant goal to improve 
the safety of flight for our warfighters. 



lence in workplace primary prevention policies, activities and 
outcomes; such as the health status of the crew or staff, and 
conduct of evidence-based and best practice activities. 

Medical - This version is for active duty MTFs and recognizes 
excellence in clinical primary prevention, community health 
promotion and medical staff health. 

Semper Fit Health Promotion Program - This version recog- 
nizes excellence in community-level primary prevention activi- 
ties for Marines, including alcohol abuse prevention, injury 

10 -MEDNEWS -June 2013 



prevention, nutrition, physical activity, psychological health, 
sexual health and tobacco cessation, conducted by Marine 
Corps Semper Fit Centers. 

The award is presented at three levels - Bronze Anchor, Silver 
Eagle and Gold Star. Every organization that applies receives 
at least the Bronze Anchor. A command earns the Silver Eagle 
by scoring at least of 50 percent of available points in every 
judged category. In addition to achieving at least 50 percent in 
every category, commands that achieve at least 80 percent of 
the total available points earn the Gold Star. All of the winning 
commands received a Blue H pennant and an annual streamer 
representing their level of achievement. 



Voices from the Field 




Photo by Mass Communication Specialist 3rd Class Laurie Dexter 

Pacific Partnership embarl<ed aboard the amphibious docl< landing ship USS Pearl Harbor (LSD 52) transits past the USS 
Missouri museum as the ship departs Pearl Harbor, May 25. Pacific Partnership is the largest disaster response- preparation 
mission in the Indo-Asia-Pacific region. The mission contributes to stability and security by opening dialogue between leaders, 
fostering friendships and building mutual trust and respect, while ensuring that the international community is better pre- 
pared to work together as a coordinated team when a regional disaster strikes. 



By Lt. Cmdr. Lori Christensen, U.S. 
Navy Bureau of Medicine and Surgery 

I will soon be embarking on what has 
the potential to be the most exciting three 
months of my Navy career to date. Leav- 
ing the familiar behind, I will go to places 
I have only read about in history books. 

When I had the pleasure of getting 
to know an officer from the Papua New 
Guinea Defense Force during my Army 
Medical Service Corps days, I never 
dreamed that my future would include 
working in his home country as a Navy 
Medical Service Corps Officer. That is 
exactly what happens as I arrive in Papua 
New Guinea as part Pacific Partnership 
2013. 

Pacific Partnership 2013 began for me 
in late January when I received a request 
for forces from Navy Medicine West. The 
message was sent to me on a Sunday eve- 
ning because of my role as the Environ- 
mental Health Officer (EHO) community 
Assistant Specialty Leader. The request 
came in for two EHOs to deploy with 
Destroyer Squadron 31 as part of the pre- 
ventive medicine team for the mission. 

My immediate reaction was to volun- 



teer! This is the type of mission that we 
dream about in the preventive medicine 
community! We put out a message to the 
EHO community the next day and had an 
overwhelming response from the junior 
officers in the community. One thing 
about the EHO community is that we are 
not shy about deployments. The selection 
was made to send me and Lt. j.g. William 
Sterling from Navy Environmental and 
Preventive Medicine Unit Six, Pearl Har- 
bor, Hawaii. The support from the EHO 
community and my colleagues at the U.S. 
Navy Bureau of Medicine and Surgery 
(BUMED) has been overwhelming. Navy 
medicine is truly a team I am so fortunate 
to be a part of. 

Those of us who were assigned in 
February came into planning that was 
already well under way. The Pre Deploy- 
ment Site Survey teams were returning 
to provide situational awareness and 
guidance at weekly teleconferences led 
by the Medical Component Lead for the 
mission, Capt. Chris Westbrook, Fleet 
Surgical Team 9, San Diego. I was as- 
signed as the senior Preventive Medicine 
staffer for the team and began the process 
of mission preparation in addition to 



maintaining an already busy schedule in 
my current position at BUMED. 

One of the first decisions that had to 
be made was to determine which officers 
would go on each of the three separate 
AD VON (Advanced Liaison) teams. 
There were four of us to choose from 
and the remaining officer would be the 
preventive medicine officer in charge on 
the USS Pearl Harbor. It was determined 
that I would go on AD VON with the 
team deploying to Papua New Guinea 
and the Solomon Islands. This means I 
will be in country to liaison with the host 
nation ministries of health and medical 
teams to determine, which activities the 
shipboard crew will participate in when 
they disembark. 

The main focus of PP13 is to build on 
pre-existing infrastructure and conduct 
subject matter expertise exchanges to 
build sustainable projects that can grow 
and be further developed by future mis- 
sion teams. It is an exciting opportunity 
and I am very excited to be able to share 
it with my Navy colleagues. Also, as it is 
a partnership mission, we will be work- 
ing alongside our Australian and New 
Zealand counterparts. 



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